Evaluation of a tuberculosis screening and prophylaxis program for international students.
In many parts of the world, tuberculosis (TB) is still a major cause of morbidity and mortality. Because of the high rate of worldwide TB infection, the University of California, Los Angeles (UCLA), requires nonimmigrant foreign students to have a tuberculin skin test before completing registration for classes. Out of 589 students tested, 57.6% were positive (n = 339) at the level of 5 mm induration or greater. All positive reactors with no contraindications to isoniazid (INH) were urged to take INH chemoprophylaxis (n = 290). Several strategies designed to improve compliance were used with all students. In addition, some students attended a lecture and discussion prior to initiation of therapy. Completion rates were low for all students, including those who attended the lecture-discussion session. Implications of the results for future screening activities are discussed.
Quillan
S
S
University of California, Los Angeles.
Malotte
C K
CK
Shlian
D
D
D000293:Adolescent; D000328:Adult; D006801:Humans; D007393:International Educational Exchange; D015141:Los Angeles; D008403:Mass Screening; D010349:Patient Compliance; D015397:Program Evaluation; D013333:Student Health Services / Q000592:standards*; D014397:Tuberculosis, Pulmonary / Q000517:prevention & control* / Q000523:psychology